Nikul Panchal
Foot & Ankle Surgery · Boynton Beach, FLNPI 1033644737
Payments from drug & device makers
What this record shows
The money is spread across several categories — speaking fees (41.4%), travel and lodging and food and beverage — rather than concentrated in one kind of arrangement. Kerecis Limited accounts for 66.8% of it on its own, with 25 other manufacturers making up the rest. Reporting peaked in 2024 at $40,937 and has fallen 80.1% since, to $8,161 in 2025. Among foot & ankle surgery clinicians in FL with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 219 payments — averaging $437.21 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Kerecis Limited$64K
- Linvatec Corporation$11K
- Musculoskeletal Transplant Foundation Inc.$4K
- Paragon 28, Inc.$4K
- Integra Lifesciences Corporation$3K
- Treace Medical Concepts, Inc.$2K
- plus $8K from 20 others
What the payments were for
- Consulting fees$8,5759%
- Speaking & faculty fees$39,59841%
- Grants$10,00010%
- Travel & lodging$24,91926%
- Food & beverage$10,70611%
- Education$1,9502%
General payments by program year
Who reported the general payments
Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.
| Company | Payments | Total |
|---|---|---|
| Kerecis Limited | 40 | $63,994 |
| Linvatec Corporation | 6 | $10,757 |
| Musculoskeletal Transplant Foundation Inc. | 15 | $4,326 |
| Paragon 28, Inc. | 12 | $3,884 |
| Integra Lifesciences Corporation | 21 | $2,717 |
| Treace Medical Concepts, Inc. | 20 | $2,096 |
| Seapearl East, Inc | 7 | $1,935 |
| Smith+Nephew | 29 | $1,864 |
| Stryker | 11 | $940 |
| Orthofix Medical, Inc. | 8 | $691 |
| Boston Scientific | 5 | $672 |
| Arthrex | 11 | $478 |
| Extremity Medical | 1 | $294 |
| Paratek Pharmaceuticals, Inc. | 9 | $211 |
| Zimmer Biomet | 3 | $157 |
| Nevro Corp. | 2 | $110 |
| Next Science LLC | 5 | $109 |
| Convatec Inc. | 3 | $106 |
| Lifenet Health | 1 | $100 |
| Anika Therapeutics, Inc. | 1 | $94 |
| Bioventus LLC | 2 | $76 |
| Bard Peripheral Vascular, Inc. | 2 | $46 |
| KCI USA, Inc. | 2 | $43 |
| Zimvie Inc. | 1 | $18 |
| Mimedx Group, Inc. | 1 | $16 |
| Tactile Systems Technology Inc | 1 | $14 |
What the payments were tied to
Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.
- Kerecis Omega3 Marigen$190,220
- Kerecis Omega3 SurgiClose$94,491
- Kerecis Omega3 GraftGuide$21,261
- LINVATEC EXTREMITIES$10,620
- Kerecis SurgiClose$10,323
- INTEGRA$6,200
- Kerecis GraftGuide$2,581
- PRIMATRIX$2,200
- INTEGRA DERMAL REGENERATION TEMPLATE$2,200
- Product Portfolio$1,977
- ACTIVCORE TTC NAIL$962
- Grafix$954
- VERSAJET II$814
- Renasys$814
- PICO$814
- Oasis$814
- Lapiplasty$797
- APEX 3D$777
- Varithena Administration Pack$623
- Lapiplasty System$607
How this compares
$95,748 in reported general payments places this provider in the 95th percentile of 850 foot & ankle surgery providers in Florida.
Medicare billing
What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Meloxicam | 15 | $11 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Boynton Beach
- Hisham AshryBoynton Beach$145K
- Adam KatzBoynton Beach$40K
- Thomas SangiovanniCoral Gables$2.1M
- Shayne JensenPanama City$1.3M
- Thomas RoukisOrlando$1M
- Craig BreslauerStuart$971K
- Bradley LammWest Palm Beach$861K
- Amber ShaneOrlando$830K
- Jonathan BlumKissimmee$785K
- Mario CalaHialeah$541K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.